Pinch valve mechanism for a medical fluid injection device

ABSTRACT

In general, this disclosure relates to techniques for sealing, or pinching, high-pressure fluid tubing (e.g., braided tubing) that may be used to deliver medical fluid from a powered medical fluid injection device, such as an injector that delivers contrast media and/or saline during angiographic or computed tomography (CT) procedures. In some cases, one or more low-friction, solenoid-based pinch valve mechanisms may be used. One example powered medical fluid injection device comprises an injector head and at least one pinch valve mechanism that is coupled to the injector head. The at least one pinch valve mechanism comprises a plunger, a reciprocating arm driven by the plunger, and a tube pinching area. The at least one pinch valve mechanism, when deactivated by the injector head, is configured to cause the reciprocating arm to pinch fluid tubing that runs through the tube pinching area.

TECHNICAL FIELD

This disclosure generally relates to the use of pinch valves withinpowered medical fluid injection devices.

BACKGROUND

Medical fluid injection devices are typically used to inject medicalfluid into a patient. These devices often include one or more reservoirsto hold the medical fluid, and one or more pressurizing units to injectthe medical fluid into the patient. For example, a contrast mediapowered injection device may include a reservoir containing contrastmedia and a syringe that is used to inject the contrast media into thepatient. The contrast media injection device may be used during certainmedical procedures, such as an angiographic or a computed tomography(CT) procedure.

Many medical fluid injection devices include one or more syringes toinject fluid. A syringe has a chamber for holding the fluid and aplunger that is moveable within the chamber. The fluid is typicallydrawn into the chamber from a fluid reservoir when the plunger is movedin a first direction. The fluid is then expelled from the chamber andinto the patient, via a catheter, when the plunger is moved in a second,opposite direction. The fluid is delivered at a rate that may bedetermined by a speed of movement of the plunger.

In many cases, high-pressure tubing (such as high-pressure braidedtubing) is used to deliver medical fluid to a syringe from a fluidreservoir, or from the syringe to a patient line. An injection devicethat has been loaded with a syringe may need to control the flow offluid through high-pressure tubing into and/or out of the syringe. Forexample, the injection device may control one or more pinch valvemechanisms to controllably open or seal off the high-pressure tubing,thereby controlling the flow of fluid through the tubing. Typically,higher forces are needed to pinch, and seal off, high-pressure tubing ascompared with lower-pressure, or non-braided, soft tubing.

SUMMARY

In general, this disclosure relates to techniques for sealing, orpinching, high-pressure fluid tubing (e.g., braided tubing) that may beused to deliver medical fluid from a powered medical fluid injectiondevice, such as an injector that delivers contrast media and/or salineduring angiographic or computed tomography (CT) procedures. In somecases, one or more low-friction, solenoid-based pinch valve mechanismsmay be used. A low-friction, solenoid-based pinch valve mechanism may,in some cases, provide certain advantages, such as long life, compactpackage size, rapid response time, and relatively low cost, as will bedescribed in more detail below.

In one embodiment, a powered medical fluid injection device comprises aninjector head and at least one pinch valve mechanism that is coupled tothe injector head. The at least one pinch valve mechanism comprises aplunger, a reciprocating arm driven by the plunger, and a tube pinchingarea. The at least one pinch valve mechanism, when deactivated by theinjector head, is configured to cause the reciprocating arm to pinchfluid tubing that runs through the tube pinching area.

In one embodiment, a method comprises receiving a pressurizing unitwithin a sleeve of a powered medical fluid injection device, andcontrolling a flow of medical fluid into or out of the pressurizing unitthrough fluid tubing by at least one pinch valve mechanism, wherein theat least one pinch valve mechanism comprises a plunger, a reciprocatingarm driven by the plunger, and a tube pinching area, and wherein the atleast one pinch valve mechanism, when deactivated by the powered medicalfluid injection device, is configured to cause the reciprocating arm topinch the fluid tubing that runs through the tube pinching area.

In one embodiment, a pinch valve mechanism comprises a plunger, areciprocating arm driven by the plunger, and a tube pinching area. Whenthe pinch valve mechanism is deactivated, it may be configured to pinchtubing that runs through the tube pinching area.

The details of one or more embodiments are set forth in the accompanyingdrawings and the description below. Other features, objects, andadvantages will be apparent from the description and drawings, and fromthe claims.

BRIEF DESCRIPTION OF DRAWINGS

FIG. 1A is a perspective diagram of one embodiment of a powered medicalfluid injection device that may be used to control a flow of fluid toand/or from one or more pressurizing units.

FIG. 1B is a perspective diagram of one embodiment of the poweredmedical fluid injection device of FIG. 1A connected to variouscomponents, including fluid reservoirs and tubing.

FIGS. 2A-2D are various perspective diagrams of another embodiment of apowered medical fluid injection device that may be used to control aflow of fluid to and/or from one or more pressurizing units.

FIG. 3 is a perspective diagram of an example syringe that may be usedwith a powered medical fluid injection device, according to oneembodiment.

FIG. 4 is a perspective diagram of a patient line that may be used witha powered medical fluid injection device, according to one embodiment.

FIG. 5 is a perspective diagram of a bottom view of a portion of theinjector head shown in FIG. 2D, according to one embodiment.

FIGS. 6A-6C are perspective diagrams of various views of one of thepinch valve mechanisms shown in FIG. 5, according to one embodiment.

FIG. 7 is a sectional diagram illustrating a cross-sectional view of thepinch valve mechanism shown in FIG. 6B along line A-A, according to oneembodiment.

FIG. 8 is a sectional diagram illustrating a cross-sectional view of thepinch valve mechanism shown in FIG. 6C along line B-B, according to oneembodiment.

FIG. 9 is a perspective diagram of a portion of the pinch valvemechanism shown in FIGS. 6A-6C, according to one embodiment.

FIG. 10 is a flow diagram illustrating a method that may be performed bya powered medical fluid injection device, such as the device shown inFIGS. 1A-1B and/or the device shown in FIGS. 2A-2D, according to oneembodiment.

DETAILED DESCRIPTION

FIG. 1A is a perspective diagram of one embodiment of a powered medicalfluid injection device 100 that may be used to control a flow of fluidto and/or from one or more pressurizing units, such as a pressurizingunit within a sleeve 108. In the embodiment of FIG. 1A, the pressurizingunit within sleeve 108 is a syringe. In other embodiments, other formsof pressurizing units may be used, including other types of positivedisplacement pumps. Device 100 is, in some embodiments, used to injectmedical fluid, such as contrast media or saline, into a patient during amedical procedure, such as an angiographic or computed tomography (CT)procedure. Device 100 includes a control panel 102, an injector head104, a sleeve 108 to hold a pressurizing unit, a reservoir holder 110, amodule 112, a patient manifold sensor 114, and an air detector 116.Injector head 104 includes a pump 106 and also includes one or moreprocessors used to control and/or monitor injector head 104, controlpanel 102, the pressurizing unit within sleeve 108, patient manifoldsensor 114, and air detector 116 of device 100. Reservoir holder 110 iscapable of holding a fluid reservoir that contains an amount of fluid tobe drawn into the syringe during operation of device 100. For example,reservoir holder 110 may hold a reservoir of contrast media or diluent.A second reservoir holder (not shown) may hold a diluent (e.g., saline)for use in pump 106. FIG. 3 shows an example of a syringe that may beused within sleeve 108, according to one embodiment. Patient manifoldsensor 114 may, in some cases, be connected to a patient manifold, aswill be described in reference to FIG. 1B.

An operator of device 100, such as a clinician, may use control panel102 to set up various parameters and/or protocols to be used for a giveninjection procedure. For example, the operator may interact with controlpanel 102 to enter injection parameters for flow rate, maximum injectionvolume, maximum injection pressure, rise time, or other parameters. Inone embodiment, control panel 102 includes a touch-screen panel.

Pump 106 is capable of pumping fluid. In one embodiment, pump 106 is aperistaltic pump. In this embodiment, tubing and a fluid reservoir (notshown) are coupled to and through pump 106. Pump 106 pumps fluid fromthe fluid reservoir through the tubing towards module 112. In theexample of FIG. 1A, both pump 106 and the syringe contained withinsleeve 108 are capable of delivering fluid from device 100 into acatheter. Pump 106 is driven by a motor that is part of pump 106, andthe plunger within the syringe is driven by a motor assembly, includingan actuator, that is part of injector head 104. In one embodiment,injector head 104 includes a processor that drives the motor assembly.

In one embodiment, reservoir holder 110 holds a fluid reservoir that iscoupled to input fluid tubing. This input fluid tubing is coupled to thesyringe, such that when the plunger within the syringe is moved in afirst direction by the motor, fluid is drawn from the reservoir into thesyringe. The syringe within sleeve 108 is further coupled to outputtubing. When the plunger within the syringe is moved in a second,opposite direction, fluid is expelled out of the syringe into the outputtubing. In one embodiment, the syringe is a dual-port syringe, such thatthe input tubing is coupled to one port of the syringe, and the outputtubing is coupled to another port of the syringe. FIG. 3 shows anexample of such a dual-port syringe, which will be described in moredetail below.

Patient manifold sensor 114 is coupled to a manifold valve (not shown),according to one embodiment. This manifold valve controls flow of fluidfrom tubing coupled to either the syringe in sleeve 108 or pump 106. Inone embodiment, the manifold valve is coupled to output tubing from thesyringe and also to tubing that runs through pump 106. Tubing also iscoupled between the manifold valve and air detector 116. After passingthrough air detector 116, the tubing is then coupled to a patient lineor catheter (not shown), such that fluid can ultimately be deliveredfrom device 100 to a patient.

The manifold valve held by the patient manifold sensor 114 is capable ofcontrolling the flow of fluid from the syringe and pump 106 to anexternal catheter. In one embodiment, the manifold valve has a firstposition that allows only fluid from the syringe to be delivered to thecatheter. The manifold valve has a second position that allows onlyfluid from pump 106 to be delivered to the catheter. In one embodiment,the manifold valve may comprise a spring-biased spool valve, but inother embodiments, other types of valves, including check valves, mayalso be used. Patient manifold sensor 114 can detect the manifold valveposition and report this position to injector head 104 for safetypurposes.

Device 100 also includes air detector 116. Tubing that runs from device100 to an external catheter passes through air detector 116, which iscapable of detecting air bubbles or air columns within the tubing. Ifair detector 116 detects a measurable or otherwise significant amount ofair within the tubing, it is capable of generating an alarm signal forinjector head 104. In such a case, a warning or alarm message may bedisplayed to the operator on control panel 102, indicating that air hasbeen detected. In addition, in one embodiment, device 100 mayautomatically pause, or terminate, a fluid injection procedure if airdetector 116 has detected air in the tubing, such that the air is notdelivered to the catheter.

In one embodiment, device 100, which may comprise a powered medicalfluid injection device, can include at least one pinch valve mechanismthat is coupled to injector head 104. The at least one pinch valvemechanism, which will be described in more detail below, may include aplunger, a reciprocating arm driven by the plunger, and a tube pinchingarea. When the at least one pinch valve mechanism is deactivated byinjector head 104, it may be configured to pinch fluid tubing that runsthrough the tube pinching area. In some instances, the at least onepinch valve mechanism may be used to controllably open or seal offhigh-pressure tubing that delivers fluid from a pressurizing unit heldin sleeve 108 and into a patient line. In such fashion, the pinch valvemechanism can control a flow of fluid through the high-pressure tubingto the patient line. The pinch valve mechanism may open or seal off aportion of the high-pressure tubing that runs through the tube pinchingarea.

FIG. 1B is a perspective diagram of one embodiment of the poweredmedical fluid injection device 100 of FIG. 1A connected to variouscomponents, including fluid reservoirs and tubing. For example, FIG. 1Bshows a first fluid reservoir 132 and a second fluid reservoir 138.First fluid reservoir 132 contains a first fluid, such as contrastmedia. An operator may hang first fluid reservoir 132 on reservoirholder 110. In some cases, first fluid reservoir 132 may be a glassreservoir, while in other cases, it may be a plastic reservoir. Thefluid contained within first fluid reservoir 132 may be drawn throughtubing and into a pressurizing unit 130 (e.g., a syringe) that has beeninserted into sleeve 108 during operation. During an automaticreplenishment operation, device 100 may automatically supplypressurizing unit 130 with an amount of fluid from first fluid reservoir132.

Second fluid reservoir 138 may contain a second fluid, such as saline.An operator may hang second fluid reservoir 138 on a hook 137. In somecases, second fluid reservoir 138 may be a plastic reservoir, such as abag. The fluid contained within second fluid reservoir 138 may be drawnthrough tubing 128 through operation of pump 106.

FIG. 1B also shows that a hand-control device 136 is coupled to controlpanel 102 via a connector 134. In one embodiment, hand-control device136 may be connected to another component of device 100 other thancontrol panel 102. As shown in FIG. 1B, hand-control device 136 iscoupled to tubing, cabling, or wiring, which connects hand-controldevice 136 to connector 134. Connector 134 may then be connected to ordisconnected from control panel 102. An operator may manipulatehand-control device 136 to control injection of fluid from device 100.For example, the operator may use hand-control device 136 as avariable-rate control device to variably control the rate of flow offluid from device 100 (e.g., flow of fluid out of pressurizing unit130). In one embodiment, hand-control device 136 may comprise anelectrical device. In one embodiment, hand-control device 136 maycomprise a pneumatic device.

Tubing 128 is coupled to a pressure transducer 126. Pressure transducer126 is also coupled to output, high-pressure tubing 122, which may beconnected to a patient line via connector 120. When high-pressure tubing122 is connected to a patient line (within a patient), pressuretransducer 126 is capable of functioning as a hemodynamic monitor forthe patient. Pressure transducer 126 converts detected pressures intoelectrical signals that may be monitored or otherwise used by device 100or another monitoring device. High-pressure tubing 122 also runs throughair detector 116. Air detector 116 is capable of detecting the presenceof air (e.g., air bubbles or columns) within fluid that may be flowingthrough high-pressure tubing 122.

FIG. 1B also shows a manifold valve 124. This manifold valve 124 isconnected to high-pressure tubing 122, as well as patient manifoldsensor 114. Manifold valve 124 is capable of controlling a flow of fluidfrom pressurizing unit 130 and/or through pump 106 to high-pressuretubing 122. For example, in one embodiment, when manifold valve 124 isin a first position, fluid may flow from pressurizing unit 130 tohigh-pressure tubing 122. When manifold valve 124, however, is in asecond position, fluid may flow through pump 106, via tubing 128, tohigh-pressure tubing 122. In one embodiment, manifold valve 124 mayallow fluid flow to high-pressure tubing 122 from only one ofpressurizing unit 130 or pump 106 at a time.

In one embodiment, as described above, the device may include at leastone pinch valve mechanism that is coupled to the injector head. The atleast one pinch valve mechanism, which will be described in more detailbelow, may include a plunger, a reciprocating arm driven by the plunger,and a tube pinching area. When the at least one pinch valve mechanism isdeactivated by the injector head, it may be configured to pinch fluidtubing, such as high-pressure tubing 122, that runs through the tubepinching area. The at least one pinch valve mechanism may be locatedanywhere coupled to the injector head, such as adjacent to manifoldvalve 124, to control the flow of fluid through high-pressure tubing122.

As described previously, the powered injection device may include atleast one pinch valve mechanism that is coupled to the injector head.The at least one pinch valve mechanism may include a plunger, areciprocating arm driven by the plunger, and a tube pinching area. Whenthe at least one pinch valve mechanism is deactivated by the injectorhead, it may be configured to pinch fluid tubing that runs through thetube pinching area, such as a portion of high-pressure tubing 122. Insome instances, the at least one pinch valve mechanism may be used tocontrollably open or seal off high-pressure tubing 122 that deliversfluid from pressurizing unit 130 and into a patient line. In suchfashion, the pinch valve mechanism can control a flow of fluid throughhigh-pressure tubing 122 to the patient line.

FIG. 2A is a perspective diagram of another embodiment of a poweredinjection device 200 that may be used to perform various functions and,when operable, may control a flow of fluid to and/or from one or morepressurizing units. In FIG. 2A, device 200 includes a first primaryreservoir holder 202A, a second primary reservoir holder 202B, anelectrical connection interface 206, a first backup reservoir holder208A, a second backup reservoir holder 208B, a control panel 212, afirst syringe sleeve 216A, a second syringe sleeve 216B, a firstfront-end assembly 218A, a second front-end assembly 218B, and a patientconnection guide rod 220. In the embodiment of FIG. 2A, the pressurizingunits that are used to deliver medical fluid are syringes that arecontained within sleeves 216A and 216B. Injector head 201 includesreservoir holder 202A, reservoir holder 202B, connection interface 206,reservoir holder 208A, reservoir holder 208B, and control panel 212.Injector head 201 further includes one or more processors used tocontrol and/or monitor the components of injector head 201 and othercomponents of device 200.

Reservoir holder 202A is capable of holding a first reservoir of medicalfluid, while reservoir holder 202B is capable of holding a secondreservoir of medical fluid. In one embodiment, reservoir holder 202Aholds a reservoir of a first type of fluid, such as contrast media,while reservoir holder 202B holds a reservoir of a second, differenttype of fluid, such as a diluent (e.g., saline). Different forms ofreservoirs (e.g., bottles, bags) may be used with reservoir holders 202Aand 202B. Because device 200 may be used to inject medical fluid overmultiple patient procedures, the reservoirs held by holders 202A and202B may need to be replaced over time. Typically, an operator of device200 manually replaces the reservoirs on holders 202A and 202B. Foroperator convenience, device 200 additionally includes backup holders208A and 208B. The operator may store backup fluid reservoirs on holders208A and 208B. When a reservoir on primary holder 202A or 202B runsempty and needs to be replaced, operator may quickly and easily access anew fluid reservoir from one of backup holders 208A or 208B and attachto primary holder 202A or 202B.

Device 200 includes electrical connection interface 206 to directly orindirectly couple device 200 to an external medical device, such as amedical imaging device. Typically, device 200, when used as a contrastmedia injection device, works in conjunction with a medical imagingdevice. For example, device 200 may work in conjunction with a medicalimaging device during an angiographic or CT procedure. Connectioninterface 206 is used to directly or indirectly connect device 200 tosuch an imaging device. In one embodiment, device 200 may transmitinjection and/or control information to an external imaging device viainterface 206, and may receive imaging and/or control information fromthe external imaging device via interface 206, as well.

FIG. 2A shows that device 200 also includes control panel 212. Controlpanel 212 is located on the top side of example device 200. The operatormay interact with control panel 212 to program various injectionprocedure parameters and/or protocols that may be used for injectionprocedures. The operator may also use control panel to set up device 200for use, to begin, pause, resume, or end a procedure, or to view variousinjection-related information (such as flow rate, volume, pressure, risetime, procedure type, fluid information, and/or patient information).FIG. 2A shows various user-activated buttons on the side of controlpanel 212. However, in one embodiment, control panel 212 may include atouch-activated screen.

In one embodiment, a separate, larger control panel (not shown) may alsobe in communication with device 200. In this embodiment, the largercontrol panel provides similar operator functionality to that providedby control panel 212. However, the larger control panel may be mountedto a rail of a bed on which a patient is lying, or may be mounted toother devices separate from device 200. In one embodiment, the largercontrol panel looks similar to control panel 102 shown in FIG. 1A.

Device 200 is a dual-syringe device that includes two syringes containedwithin sleeves 216A and 216B. Both syringes are capable of deliveringmedical fluid to a patient.

In one embodiment, the syringe within sleeve 216A is capable of drawingin fluid from a fluid reservoir coupled to holder 202A, and the syringewithin sleeve 216B is capable of drawing in fluid from a fluid reservoircoupled to holder 202B. For example, these syringes may draw in fluidduring a fluid replenishment operation. Each syringe is coupled to amotor/actuator assembly (not shown) that drives a plunger in one of twodirections. During a fluid replenishment cycle, for example, amotor/actuator assembly of device 200 may drive a plunger within thesyringe in sleeve 216A in one direction to draw fluid from a reservoircoupled to holder 202A into the syringe. During an injection cycle, themotor/actuator assembly of device 200 may drive the plunger within thissyringe in the opposite direction to expel fluid. In one embodiment,device 200 contains two distinct motor/actuator assemblies, such thatone assembly drives the syringe within sleeve 216A while another drivesthe syringe within sleeve 216B. These motor/actuator assemblies are partof injector head 201, and may individually be controlled or monitored bythe one or more processors included within injector head 201.

Fluid input tubing couples the syringes within sleeves 216A and 216B tothe fluid reservoirs and to output lines, according to one embodiment.In one embodiment, the syringes each are dual-port syringes (such as thedual-port syringe shown in FIG. 3). In this embodiment, one syringe portis used for input tubing that is coupled to a fluid reservoir, while thesecond port is used for output tubing that is operatively coupled to anoutput (patient) line through assemblies 218A or 218B.

Front-end assembly 218A is associated with sleeve 216A, and front-endassembly 218B is associated with sleeve 216B. Output tubing from thesyringe in sleeve 216A runs through assembly 218A and out to a patientline, while output tubing from the syringe in sleeve 216B runs throughassembly 218B and out to the patient line. Each assembly 218A and 218Bincludes a door, or cover, which may be opened and closed by theoperator. For the example, the operator may open the door when loadingtubing and may be closed upon loading. In one embodiment, each door maybe made of a transparent or translucent material, such that the operatormay see inside the contents of the assembly 218A or 218B even when thedoor is closed.

In one embodiment, each front-end assembly 218A and 218B includes airdetectors and valve components (not shown). Air detectors are used todetect air bubbles or air columns within the fluid tubing that is used.The valve components are used to allow or restrict fluid flow throughtubing. For example, when pinch valves are used, the valves pinch fluidtubing to restrict fluid flow in one state, but stay open to allow fluidflow in another state. Various different forms of valves may be usedwithin assemblies 218A and 218B. In addition, various different forms ofair detectors (e.g., ultrasonic, optical) may be used, as well.

In one embodiment, the input and output tubing that is coupled to thesyringe in sleeve 216A runs through front-end assembly 218A, and theinput and output tubing that is coupled to the syringe in sleeve 216Bruns through front-end assembly 218B. In this embodiment, each assembly218A and 218B contains a first pinch valve and a first air detectorcoupled to the input tubing for the respective syringe, and furthercontains a second pinch valve and a second air detector coupled to theoutput tubing for the respective syringe. These components are moreclearly shown in FIG. 2D and will be discussed in more detail below.

FIG. 2A also shows a patient connection guide rod 220. The output tubingfrom syringes 216A and 216B run through front-end assemblies 218A and218B, respectively, and are then coupled to a patient line, or kit (notshown). The patient line is a single-use line, according to oneembodiment, that is used for a single patient procedure. Each patientline may be connected to and disconnected from the output tubing runningthrough front-end assemblies 218A and 218B. The patient line isconnected to the output tubing via connection guide rod 220, accordingto one embodiment. The patient line may slide over connection guide rod220 in order to become coupled with the output tubing. In oneembodiment, the patient line includes two tubing elements, each elementcorresponding to one of the output tubing elements of the syringe insleeve 216A or 216B. An example patient line is shown in FIG. 4 and willbe discussed in more detail below.

In one embodiment, a medical fluid injection device, such as device 200,may include a plurality of pressurizing units, including three or morepressurizing units. Each of these pressurizing units may be includedwithin a separate sleeve during operation. In some cases, multiplepressurizing units may contain the same type of fluid. For example, afirst pressurizing unit may contain contrast media, a secondpressurizing unit may contain a diluent (e.g., saline), and a thirdpressurizing unit may contain contrast media. In this scenario, thethird pressurizing unit may comprise a backup, or secondary, source ofcontrast media. In this example, the first and third pressurizing unitsmay both be coupled to a common front-end assembly, such as a front-endassembly similar to 218A or 218B.

FIG. 2B is another perspective diagram of device 200 shown in FIG. 2A.In FIG. 2B, sleeves 216A and 216B, along with front-end assemblies 218Aand 218B, can be more clearly seen. Although the doors of assemblies218A and 218B are closed in the example of FIG. 2B, they are made of asemi-transparent material, such that the interior pinch valve and airdetector components may be more clearly seen. FIG. 2B also showsconnection ports 222 and 224. In one embodiment, a pressure transducerconnector (such as one coupled to connector 410 shown in FIG. 4), may beconnected to connection port 224. The pressure transducer connector isoperatively coupled to a pressure transducer, which measures patienthemodynamic signals on the patient line. By connecting a pressuretransducer to connection port 224, device 200 is capable of utilizingand processing hemodynamic pressure signals of a patient that aredetected in the patient line.

Device 200 also includes connection port 222, which may be connected toa hand-control device (not shown). In one embodiment, the hand-controldevice is a disposable component that may be used by the operator for asingle patient procedure. The hand-control device may control theoperation of one or both of syringes in sleeves 216A and 216B. Forexample, the operator may push a button or otherwise interact with thehand-control device to cause a motor/actuator assembly to inject fluidfrom the syringe in sleeve 216A, and may push another button orotherwise interact with the hand-control device to cause amotor/actuator assembly to inject fluid from the syringe in sleeve 216B.Thus, if the syringe in sleeve 216A contains contrast media, and thesyringe in sleeve 216B contains a diluent, the operator may push onebutton on the hand-control device to inject contrast into the patientline, and may push another button to inject saline. In one embodiment,the hand-control device contains variable-rate functionality, such thatthe harder the operator pushes on a button or actuates a component, thegreater the flow rate of injected fluid from the syringe in sleeve 216Aor 216B.

FIG. 2C is another perspective diagram of device 200. FIG. 2C shows atop view of device 200, according to one embodiment.

FIG. 2C also shows doors 221A and 221B on front-end assemblies 218A and218B, respectively. As noted above, in one embodiment, each ofassemblies 218A and 218B include a moveable door 221A and 221B,respectively. Door 221A covers assembly 218A, and door 221B coversassembly 218B. In the embodiment of FIG. 2C, doors 221A and 221B aremade of a transparent, or semi-transparent, material, such that anoperator may see the contents of assemblies 218A and 218B (which areshown in more detail in FIG. 2D). Door 221A includes a handle 219A, anddoor 221B includes a handle 219B. The operator may utilize handles 219Aand 219B to open and close doors 221A and 221B, respectively. Doors 221Aand 221B are coupled to one or more hinges 228, which allow doors 221Aand 221B to be opened and closed.

Also shown in FIG. 2C is a pivot pin 229. Pivot pin 229 is insertedthrough hinges 228, according to one embodiment, to securely allow doors221A and 221B to be freely opened and closed by an operator. Doors 221Aand 221B pivot about an axis that runs through pivot pin 229.

In one embodiment, pivot pin 229 is screwed into place. Pivot pin 229may also be removed by an operator. For example, the operator mayunscrew pivot pin 229 and remove it from front-end assemblies 218A and218B. After pivot pin 229 has been removed, doors 221A and 221B may alsobe removed from assemblies 218A and 218B. For example, the operator maychoose to remove doors 221A and 221B if the operator wishes to clean orreplace doors 221A and 221B.

FIG. 2D is a perspective view of front-end assemblies 218A and 218Bshown in more detail, according to one embodiment. Although doors 221Aand 221B are not shown in FIG. 2D, they are made of a transparent, orsemi-transparent, material, such that the contents of assemblies 218Aand 218B may be more clearly seen by an operator, even when doors 221Aand 221B are closed.

Front-end assembly 218A includes a first air detector 230A, a firstpinch valve 232A, a second pinch valve 234A, and a second air detector236A. Input tubing from a reservoir on holder 202A runs through airdetector 230A and pinch valve 232A and into a syringe in sleeve 216A viaa first syringe port, according to one embodiment. Output tubing coupledto a second syringe port of the syringe in sleeve 216A runs throughpinch valve 234A and air detector 236A and is then coupled an externalpatient line, or kit (such as the one shown in FIG. 4). Air detector230A is used to detect air bubbles or columns within the input tubing,and air detector 236A is used to detect air bubbles or columns withinthe output tubing. Air detectors 230A and 236A may compriseacoustic-based, optical-based, or other forms of air detectors.

If either or both of air detectors 230A and 236A detect a measurableamount of air in the input and/or output tubing, these detectors maypropagate signals to injector head 201 of device 200. One or moreprocessors of injector head 201 may process these received signals.Injector head 201 may provide a warning message or alert to the operatorvia control panel 212, such that the operator may take appropriateaction. Injector head 201 may also, in one embodiment, automaticallypause or terminate any injection of fluid from the syringe in sleeve216A if air has been detected in the input and/or output tubing, bycontrolling operation of the motor/actuator assembly driving thesyringe.

Pinch valve 232A controls a flow of fluid from input tubing into thesyringe in sleeve 216A. Injector head 201 controls the operation ofpinch valve 232A. When injector head 201 opens pinch valve 232A, fluidmay flow from the reservoir connected to holder 202A and into thesyringe. When pinch valve 232A is closed, no fluid flow is permittedwithin the input tubing. For example, when injector head 201 issupplying the syringe with fluid, it may open pinch valve 232A to allowfluid flow in the input tubing, but it may also close pinch valve 234A,to prohibit any fluid flow in the output tubing. The plunger within thesyringe may be moved in a first direction (by the motor/actuatorassembly) to supply fluid to the syringe. When a fluid injection occurs,the motor/actuator assembly will move the plunger within the syringe ina second, opposite direction. Injector head 201 may close pinch valve232A during an injection procedure, to prohibit fluid flow in the inputtubing. However, injector head 201 may open pinch valve 234A, to allowfluid flow in the output tubing during such a procedure. In suchfashion, injector head 201 utilizes pinch valves 232A and 234A tocontrol fluid flow in the input and output tubing during variousoperations (e.g., replenishment and injection operations).

In one embodiment, pinch valves 232A and 234A are solenoid-based pinchvalves. In other embodiments, other forms of pinch valves 232A and 234Amay be used, such as pneumatic-based valves. In one embodiment, pinchvalves 232A and 234A have default states in the closed position. Thus,when device 200 is neither supplying fluid into nor injecting fluid fromthe syringe in sleeve 216A, both pinch valves 232A and 234A are closed.Pinch valves 232A and 234A may then be opened by device 200 when energyis actively applied to pinch valves 232A and/or 234A. When no energy isapplied to pinch valves 232A and/or 234A, they return to a default,closed position. Thus, if there are any power failures to device 200,valves 232A and 234A will return to closed position. This may helpimprove the safety of device 200.

Similarly, front-end assembly 218B includes a first air detector 230B, afirst pinch valve 232B, a second pinch valve 234B, and a second airdetector 236B. Input tubing from a reservoir connected to holder 202Bruns through air detector 230B and pinch valve 232B and into a firstsyringe port of the syringe in sleeve 216B. Output tubing coupled to asecond syringe port of the syringe runs through pinch valve 234B and airdetector 236B, and may then be coupled to a patient line. The componentswithin device 218B function similarly to those contained within device218A as described above, according to one embodiment.

In one embodiment, device 200, which may comprise a powered medicalfluid injection device, can include at least one pinch valve mechanismthat is coupled to injector head 201. The at least one pinch valvemechanism, which will be described in more detail below, may include aplunger, a reciprocating arm driven by the plunger, and a tube pinchingarea. When the at least one pinch valve mechanism is deactivated byinjector head 201, it may be configured to pinch fluid tubing that runsthrough the tube pinching area. As will be described below, FIG. 5 showsan example of four such pinch valve mechanisms 500A, 500B, 502A, and502B. These pinch valve mechanisms 500A, 500B, 502A, and 502B may becoupled to, or otherwise include, pinch valves 232A, 232B, 234A, and234B, which each comprise a corresponding tube pinching area.

In one embodiment, one or more of the pinch valve mechanisms maycomprise a solenoid-based pinch valve mechanism. In some instances, theat least one pinch valve mechanism, when activated by injector head 201,may be configured to open a path in the fluid tubing that deliversmedical fluid to one or more pressurizing units (e.g., syringes)contained within sleeve 216A and/or sleeve 216B, such as during a filloperation. In these instances, injector head 201 may activate the atleast one pinch valve mechanism to allow a pressurizing unit to befilled with fluid from a fluid reservoir.

In some instances, one or more additional pinch valve mechanisms, whenactivated by injector head 201, may be configured to open a path in thefluid tubing that delivers medical fluid from one or more pressurizingunits contained within sleeve 216A and/or sleeve 216B to an externalpatient line, such as during an injection procedure. In these instances,injector head 201 may activate the one or more additional pinch valvemechanisms to allow fluid in a pressurizing unit to be injected into thepatient line.

As noted earlier, various pinch valve mechanisms (such as those shown inFIG. 5) may be coupled to the pinch valves 232A, 232B, 234A, and 234Bshown in FIG. 2D. As described previously, pinch valves 232A, 232B,234A, and 234B may control fluid flow through fluid tubing that runsinto or out of a pressurizing unit within sleeve 216A or sleeve 216B. Insome instances, a first pinch valve mechanism may be coupled to firstfluid tubing that runs into a first pressurizing unit, and a secondpinch valve mechanism may be coupled to second fluid tubing that runsout of the first pressurizing unit. The first pressurizing unit may be,for example, contained within sleeve 216A. Injector head 201 may controlthe first pinch valve mechanism to either open or seal off a flow offluid through the first fluid tubing and into the first pressurizingunit (e.g., from a fluid reservoir). For example, injector head mayactivate the first pinch valve mechanism to open a path in the firstfluid tubing, such that medical fluid is permitted to flow in the pathof the first fluid tubing and into the first pressurizing unit.Similarly, injector head 201 may control the second pinch valvemechanism to either open or seal off a flow of fluid through the secondfluid tubing and out of the first pressurizing unit, such as into apatient line.

A third pinch valve mechanism may be coupled to third fluid tubing intoa second, separate pressurizing unit, and a fourth pinch valve mechanismmay be coupled to fourth fluid tubing out of the second pressurizingunit. The second pressurizing unit may be, for example, contained withinsleeve 216B. Injector head 201 may control the third pinch valvemechanism to either open or seal off a flow of fluid through the thirdfluid tubing and into the second pressurizing unit (e.g., from a fluidreservoir). Similarly, injector head 201 may control the fourth pinchvalve mechanism to either open or seal off a flow of fluid through thefourth fluid tubing and out of the second pressurizing unit, such asinto a patient line.

FIG. 3 is a perspective diagram of an example syringe 301 that may beused within device 200, according to one embodiment. Syringe 301 may beloaded in either sleeve 216A or 216B. If syringe 301 is loaded intosleeve 216A, it may be coupled to a fluid reservoir connected to holder202A (FIG. 2A), and may further be coupled to a patient line (FIG. 4).

Syringe 301 is a dual-port syringe in the example of FIG. 3. Input port300 is coupled to input tubing 308, and output port 302 is coupled tooutput tubing 304. Input tubing is coupled to a connector 310, which maybe connected to a fluid reservoir in holder 202A, assuming syringe 301is loaded into sleeve 216A. For example, if connector 310 is a spike,the spike may be inserted into a bottle of medical fluid connected toholder 202A. Output tubing 304 is coupled to a connector 306, whichcouples output tubing 304 to a separate patient line. In one embodiment,connector 306 is a Luer-type connector.

Fluid is drawn from the fluid reservoir into port 300 of syringe 301 viainput tubing 308. Fluid is expelled from port 302 of syringe 301 intooutput tubing 304. Input tubing 308 may run through air detector 230Aand pinch valve 232A (FIG. 2D) of front-end assembly 218A, which wasdescribed in more detail above, while output tubing 304 may run throughpinch valve 234A and air detector 236A. In one embodiment, syringe 301,along with input tubing 308, connector 310, output tubing 304, andconnector 306, are disposable, multi-use components. That is, thesecomponents may be used within device 200 over multiple uses or patientprocedures before they are disconnected from device 200 and disposed of.In another embodiment, these components are disposable, single-usecomponents, meaning that they are disposed of after a single patientprocedure.

In one embodiment, syringe 301 may also be used in device 100 (FIG. 1A).When used in device 100, connector 310 would be connected to a fluidreservoir on holder 110, and output tubing 304 would run through patientmanifold sensor 114.

FIG. 4 is a perspective diagram of a patient line 400 that may be usedwith injection device 200 shown in FIGS. 2A-2C, according to oneembodiment. Patient line 400 includes an assembly 401, a valve 416, astopcock 418, and a connector 420. Patient line 400 is used to coupledevice 200 with a catheter that is used to deliver medical fluid to apatient.

Assembly 401 includes a first connector 402 and a second connector 404.When assembly 401 is coupled to device 200, connector 402 is connectedwith a connector for output tubing that is coupled to one of thesyringes in sleeves 216A or 216B, while connector 404 is connected witha connector for output tubing that is coupled to the other syringe. Forexample, connector 402 may be connected to connector 306 (FIG. 3), whichis coupled to output tubing 304 for the syringe in sleeve 216A. Patientline 400 is a disposable kit, in one embodiment, such that connectors402 and 404 may be connected to and removed from tubing connectors, suchas connector 306, by the operator. In one embodiment, patient line 400is a single-use disposable kit, such that it is connected to device 200for one patient use, and then subsequently disconnected and discarded.

Connector 402 is operatively coupled to tubing 406, and connector 404 isoperatively coupled to tubing 408. In one embodiment, connector 402 iscoupled to the syringe in sleeve 216A, which contains contrast media,while connector 404 is coupled to the syringe in sleeve 216B, whichcontains a diluent such as saline. Thus, in this embodiment, contrastmedia is injected into tubing 406 of patient line 400, while diluent isinjected into tubing 408. Tubing 406 and 408 are coupled to valve 416,which, in one embodiment, comprises an elastomeric-type valve thatallows fluid flow from only one of tubing 406 and 408 to output tubing417. In one embodiment, valve 416 comprises a one-way valve that allowsfluid flow only in the direction towards output tubing 417. Guide rod220 may help, in some cases, maintain the sterility of connectors 402and 404 by aligning these connectors, during insertion, to preventcontact with non-sterile items.

As is shown in FIG. 4, tubing 408 is coupled to check valve 412 andtransducer 414. In one embodiment, check valve 412 comprises abi-directional check valve. Transducer 414 comprises a pressuretransducer in one embodiment that is capable of measuring hemodynamicsignals of a patient when patient line 400 is coupled a catheter thathas been inserted into the patient. Transducer connector 410 may becoupled to device 200, such as by way of port 224 (FIG. 2B). Whenconnected, hemodynamic signals generated by transducer 414 may beprocessed by a processor within device 200.

Output tubing 417 is coupled to stopcock 418 and to connector 420 shownin FIG. 4. Stopcock 418 may be manually manipulated by the operator tocontrol fluid flow, and may also be connected to other external devices,such as a syringe. Connector 420 is used to connect patient line 400 toan external catheter that may deliver fluid to a patient. In oneembodiment, connector 420 comprises a Luer-type connector.

In one embodiment, patient line 400 may also be used with device 100shown in FIG. 1A. When used with device 100, transducer connector 410 iscoupled to a mating port within device 100 (not shown), such that aprocessor of device 100 may process the hemodynamic signals. Assembly401 may also be coupled in device 100 in this embodiment. Patient line400 may be coupled to a manifold valve that is coupled to patientmanifold sensor 114, such that connection port 402 may be coupled totubing from the syringe, while connection port 404 may be coupled totubing running through pump 106. In this embodiment, tubing 417 may alsobe coupled to, or run through, air detector 116 of device 100.

FIG. 5 is a perspective diagram of a bottom view of a portion ofinjector head 201 shown in FIG. 2D, according to one embodiment. Theperspective diagram shown in FIG. 5 of this bottom view shows a numberof different pinch valve mechanisms 500A, 500B, 502A, and 502B on theunderside of injector head 201. Pinch valve mechanisms 500A and 502A arelocated beneath front-end assembly 218A, while pinch valve mechanisms500B and 502B are located beneath front-end assembly 218B. FIGS. 6A-6Cshow perspective views of an example of an individual pinch valvemechanism, such as one or more of pinch valve mechanisms 500A, 500B,502A, and 502B.

In one embodiment, pinch valve mechanisms 500A, 500B, 502A, and 502Beach include one of pinch valves 232A, 232B, 234A, or 234B shown on thetop side of injector head 201 in FIG. 2D. For example, pinch valvemechanisms 500A, 500B, 502A, and 502B may each include a tube pinchingarea that corresponds to one of pinch valves 232A, 232B, 234A, or 234B.

In one embodiment, one or more of pinch valve mechanisms 500A, 500B,502A, and 502B, which are coupled to injector head 201, may comprise aplunger, a reciprocating arm driven by the plunger, and a tube pinchingarea, as will be described in more detail below. When a pinch valvemechanism 500A, 500B, 502A, and 502B is deactivated by injector head201, it pinches closed, or seals off, fluid tubing that runs through itstube pinching area. As a result, in this embodiment, each pinch valvemechanism 500A, 500B, 502A, and 502B is capable of having a defaultstate of being closed, where it seals off the fluid tubing that runsthrough its tube pinching area, and blocks any flow of fluid through thetubing. Each pinch valve mechanism 500A, 500B, 502A, and 502B may be inthis default state when it is deactivated by injector head 201, such aswhen no power is delivered to the pinch valve mechanism.

In an alternate embodiment, each pinch valve mechanism 500A, 500B, 502A,and 502B is capable of having a default state of being open, where itopens a fluid path in the fluid tubing that runs through its pinchingarea. In this embodiment, when no power is delivered to the pinch valvemechanism, fluid is capable of flowing in the fluid path through thefluid tubing.

As can be seen from FIG. 5, the pinch valve mechanisms 500A, 500B, 502A,and 502B, as included within injector head 201, may provide a compactand/or relatively simple design. In some instances, pinch valvemechanisms 500A, 500B, 502A, and 502B may comprise solenoid-basedmechanisms. In these instances, these mechanisms may be packaged insidethe design space of injector head 201 with a few number of moving partsas compared with pneumatic-based pinch valves, and may also be providedat potentially lower cost, as well. In addition, solenoid-basedmechanisms may be capable of providing very fast response time uponactivation, due to the powerful magnetic field generated by the solenoidcoils of these mechanisms when they are energized with relatively lowpower. Solenoid-based mechanisms may also provide strong pinching forces(e.g., when deactivated) to seal off high-pressure tubing that iscoupled to pressurizing units, such as those contained within sleeves216A and/or 216B.

FIGS. 6A-6C are perspective diagrams of various views of one of thepinch valve mechanisms 500A, 500B, 502A, or 502B shown in FIG. 5,according to one embodiment. For purposes of illustration only, it isassumed that the pinch valve mechanism shown in FIGS. 6A-6C is mechanism500A, though any of the remaining pinch valve mechanisms 500B, 502A,and/or 502B may have a similar structure and functionality.

Pinch valve mechanism 500A may comprise a solenoid-based mechanism. Asshown in FIG. 6A, pinch valve mechanism 500A may include a solenoid coil600, a tube pinching area 602, an arbor 612, a wiring cable 604, awiring cable 610, a connector 606, and a connector 608. Wiring cable 604delivers power to solenoid coil 600 from injector head 201, and iscoupled to connector 606. Connector 606 connects to a power-supplyingcomponent of injector head 201. Wiring cable 610 is coupled to connector608, which is coupled to injector head 201.

Wiring cable 610 may be adapted to send information to injector head 201regarding the status of tube pinching area 602 and/or the associatedpinch valve. For example, in some cases, wiring cable 610 may send asignal to injector head 201 indicating that tube pinching area 602and/or associated pinch valve is (a) open, (b) fully closed (i.e., withno tubing in tube pinching area 602), or (c) pinched closed (i.e., withtubing pinched in tube pinching area 602). Certain status informationmay be useful in various instances, such as providing safety-relatedfeedback to injector head 201.

For instance, if injector head 201 is configured to perform (ordetermine whether to perform) a fill operation of medical fluid into apressurizing unit contained within sleeve 216A or 216B, injector head201 may review the status information provided by wiring cable 610regarding the status of tube pinching area 602 and/or the associatedpinch valve for pinch valve mechanism 500A that controls flow of fluidfrom a reservoir into the pressurizing unit. Injector head 201 wouldtypically expect that tube pinching area 602 is open, such that fluidmay flow from the reservoir into the pressurizing unit.

If, however, the status information indicates that tube pinching area602 is pinched closed, injector head 201 may generate a safety-relatederror warning or indication to a user, indicating that the pinch valveis improperly closed during a fill operation. In some cases, injectorhead 201 may even terminate the fill operation until the situation isresolved. If the status information indicates that tube pinching area602 is fully closed, injector head 201 may also generate an errorwarning or indication, or even terminate the fill operation. In thisscenario, the fluid tubing may not be properly installed to run throughtube pinching area 602 of pinch valve mechanism 500A. Injector head 201may clear the error, or resume operation, after the situation has beenresolved, such as by the user properly configuring the fluid tubing. Insuch fashion, injector head 201 may determine an operational state basedupon the status of tube pinching area 602, such as a state that relatesto a fluid fill (or even a fluid injection) operation. In someinstances, injector head 201 may deactivate pinch valve mechanism 500Aif it determines that the status information provided by wiring cable610 is unexpected.

Injector head 201 may use a similar approach in analyzing the statusinformation provided by wiring cable 610 when performing (or determiningwhether to perform) an injection operation. Injector head 201 may reviewthe status information regarding the status of tube pinching area 602and/or the associated pinch valve when pinch valve mechanism 500A thatcontrols flow of fluid from a pressurizing unit into a patient line(e.g., patient line 400).

In some instances, injector head 201 may determine whether to perform afill operation for a pressurizing unit based upon its review of statusinformation for pinch valve mechanism 500A when pinch valve mechanism500A controls a flow of fluid from the pressurizing unit into patientline 400A. To avoid the possibility of drawing back fluid from patientline 400A into the pressurizing unit, injector head 201 may expect thattube pinching area 602 to be pinched closed. If, however, the statusinformation indicates that tube pinching area 602 is open, or even fullyclosed (indicating that no tubing is present), injector head 201 maygenerate an alarm or warning message, determine to delay the filloperation until the situation is resolved, or even deactivate pinchvalve mechanism 500A.

Similarly, in some cases, injector head 201 may determine whether toperform an injection operation for a pressurizing unit based upon itsreview of status information for pinch valve mechanism 500A when pinchvalve mechanism 500A controls a flow of fluid into the pressurizing unitfrom a reservoir. To avoid the possibility of injecting fluid back intothe reservoir, injector head 201 may expect that tube pinching area 602to be pinched closed. If, however, the status information indicates thattube pinching area 602 is open, or even fully closed (indicating that notubing is present), injector head 201 may generate an alarm or warningmessage, determine to delay the injection operation until the situationis resolved, or even deactivate pinch valve mechanism 500A.

When pinch valve mechanism 500A is deactivated (i.e., when it has nopower), a spring (not shown) inside of pinch valve mechanism 500A maypreload arbor 612, which then may preload a solenoid plunger (notshown), which is coupled to solenoid coil 600, with a determined pinchforce. The solenoid plunger may then drive a reciprocating arm (notshown) that causes a pinching mechanism, such as one of pinch valves232A, 232B, 234A, or 234B to pinch, and seal off, fluid tubing that runsthrough tube pinching area 602, as will be described in more detailbelow. FIG. 8 shows an example of some of the components not shown inFIG. 6A, such as the spring, solenoid plunger, and reciprocating arm.

When pinch valve mechanism 500A is activated by injector head 201, pinchvalve mechanism 500A is configured to open a path in the fluid tubingthat runs through tube pinching area 602, such that medical fluid ispermitted to flow in the path of the fluid tubing. The plunger of pinchvalve mechanism 500A may drive its reciprocating arm to open the pathupon activation of pinch valve mechanism 500A by injector head 201. Thefluid tubing may, in some instances, comprise a high-pressure tubingthat is used to transport fluid at high pressures. For example, thefluid tubing may comprise a high-pressure braided tubing.

FIG. 6B illustrates a side perspective view of pinch valve mechanism500A. This side view also shows a backstop bracket 614 of pinch valvemechanism 500A. Backstop bracket 614 may be used to secure pinch valvemechanism 500A within injector head 201. An example of a cross-sectionalview of pinch valve mechanism 500A, along line A-A, is shown in FIG. 7,and is described in more detail below with reference to FIG. 7.

FIG. 6C illustrates another perspective view of pinch valve mechanism500A. Certain details (e.g., of tube pinching area 602) may be seen moreclearly in the perspective view of FIG. 6C. An example of across-sectional view of pinch valve mechanism 500A, along line B-B, isshown in FIG. 8, and is described in more detail below with reference toFIG. 8.

FIG. 7 is a sectional diagram illustrating a cross-sectional view of thepinch valve mechanism 500A shown in FIG. 6B along line A-A, according toone embodiment. Again, for purposes of illustration only, FIG. 7 shows across-sectional view of pinch valve mechanism 500A. However, one or moreof the remaining pinch valve mechanisms shown in FIG. 5, such as pinchvalve mechanisms 500B, 502A, and/or 502B, may have a similar structureand functionality.

As shown in the example of FIG. 7, pinch valve mechanism 500A includesarbor 612 (FIGS. 6A-6C), a spring 702, a roller 700, tube pinching area602, a slot 704, a reciprocating arm 706, solenoid coil 600, a solenoidplunger 708, a pad 710, a pad 712, and backstop bracket 614, which areall part of pinch valve mechanism 500A. One or more of such pads 710 and712 may be coupled to solenoid plunger 708. Spring 702 may preload arbor612, which is then capable of preloading solenoid plunger 708 with adetermined amount of force. Solenoid plunger 708 may then drivereciprocating arm 706, which can pivot about a support bushing 800 (alsoshown in FIG. 8), which is also part of pinch valve mechanism 500A. Theforce of solenoid plunger 708 may be transferred to reciprocating arm706 via roller 700. In some cases, roller 700 may be pinned to one endof reciprocating arm 706, and is capable of rotating inside a slot 902(also shown in FIG. 9) of solenoid plunger 708.

Roller 700 may be a bi-directional roller, meaning that it is capable ofrotating like a solid bearing when solenoid plunger 708 moves forwardand backward. For example, roller 700 may rotate in a first directionwithin a slot (e.g., slot 902 shown in FIG. 9) of solenoid plunger 708when solenoid plunger 708 moves forward. Roller 700 may rotate in asecond, opposite direction within the slot of solenoid plunger 708 whensolenoid plunger 708 moves backward. The direction of movement ofsolenoid plunger 708 may be controlled by activation and/or deactivationof solenoid coil 600 by injector head 201.

Force transfer from solenoid plunger 708 to reciprocating arm 706 may,in some cases, occur with low friction due to the rolling action ofroller 700. Shaft-side loading of solenoid plunger 708 may also, in somecases, be minimized during activation of solenoid coil 600.

Friction between various moving parts within pinch valve mechanism 500Amay also be decreased by other factors. For example, slot 704 (which maycomprise a vertical slot) in reciprocating arm 706 may permit a pin 707of pinch valve mechanism 500A to articulate in slot 704, reducingfrictional binding that may manifest itself in a minimal surface area ofcontact.

In one embodiment, pinch arm 705 is capable of pinching, or sealing, anyfluid tubing that runs through tube pinching area 602 when pinch valvemechanism 500A is in its default (de-energized) state. Spring 702 maypreload arbor 612, which is then capable of preloading solenoid plunger708 with a determined force. Solenoid plunger 708 may then drivereciprocating arm 706 via roller 700, which can pivot about the supportbushing. Pin 707 articulates within slot 704, and causes pinch arm 705to move (e.g., to the right in FIG. 7) and pinch the tubing in tubepinching area 602.

In one embodiment, injector head 201 delivers power to, and energizes,pinch valve mechanism 500A in order to open a fluid path in tubing thatruns through tube pinching area 602, such that fluid may flow throughthe fluid path. Upon activation of solenoid coil 600, solenoid plunger708 drives reciprocating arm 706 via roller 700, such that pin 707articulates within slot 704, and causes pinch arm 705 to move (e.g., tothe left in FIG. 7) and open the fluid path in the tubing runningthrough tube pinching area 602.

FIG. 7 also shows pads 710 and 712 of pinch valve mechanism 500A. In oneembodiment, pads 710 and 712 may comprise pads made of a poron material,or poron pads. In some cases, the poron pads may comprise poron washers.Pads 710 and 712 may help reduce an overall noise generated by pinchvalve mechanism 500A. Pads 710 and 712 may help dampen, orde-accelerate, the high velocity motion of solenoid plunger 708. Thenoise generated by pinch valve mechanism 500A may, in some instances, beproportional to the rate of plunger dampening.

In one embodiment, the material used for reciprocating arm 706 may be adifferent type and/or grade of material than that used for roller 700.For example, reciprocating arm 706 may be made of a different typeand/or grade of steel than roller 700 to prevent like materials fromgalling and/or seizing against one another. If stainless steel is notused, then an appropriate plating and/or coating may be implemented tohelp prevent corrosion.

FIG. 8 is a sectional diagram illustrating a cross-sectional view ofpinch valve mechanism 500A shown in FIG. 6C along line B-B, according toone embodiment. FIG. 8 shows a portion of reciprocating arm 706 in crosssection. FIG. 8 also shows bushing 800. Bushing 800 may protrude fromreciprocating arm 706 on both ends. This may allow for minimal surfacearea contact with reciprocating arm 706, such that the remaining portionof reciprocating arm 706 may not introduce frictional contact with othermating parts.

Often, solenoid-based devices, such as pinch valves, provide limitedstroke, or linear distance of travel, during electrical activation. Inone embodiment, pinch valve mechanism 500A preserves the limited strokeafforded by solenoid-based operation. Reciprocating arm 706 may beimplemented with a one-to-one load transfer characteristic (or amechanical advantage of one, or substantially one) to preserve thelimited stroke.

FIG. 9 is a perspective diagram of a portion of the pinch valvemechanism 500A shown in FIGS. 6A-6C, according to one embodiment. FIG. 9shows pad 710, solenoid plunger 708, solenoid coil 600, alignment holes900A and 900B, plunger slot 902, and plunger alignment shaft 904 (e.g.,a vertical alignment shaft) for solenoid plunger 708. Alignment shaft904 couples solenoid plunger 708 to reciprocating arm 706 and permits abi-directional roller (e.g., roller 700 shown in FIG. 7) to rotateinside plunger slot 902 of solenoid plunger 708. Alignment holes 900Aand 900B may be used to properly position and mount solenoid plunger708, for example.

In one embodiment, friction between various moving parts within pinchvalve mechanism 500A may be decreased by certain factors. Positioningplunger alignment shaft 904, as shown in FIG. 9, may help prevent metalfrom rubbing on metal as roller 700 rotates inside slot 902 of solenoidplunger 708.

The pinch valve mechanisms described herein, such as pinch valvemechanism 500A, 500B, 502A, and/or 502B may provide various benefits andadvantages when used with injector head 201. For example, pinch valvemechanism 500A may be compact in size, as it may be packaged inside thedesign space of injector head 201 with minimal moving parts. Inaddition, pinch valve mechanism 500A may be reliable and quiet. Asdescribed previously, poron pads may be used to reduce noise levelsduring operation of the device. Also, pinch valve mechanism 500A iscapable of providing a high-force sealing mechanism using a lower-powerinput source.

In some example instances, before actuation, pinch valve mechanism 500Ais capable of closing against a thirty-five pound spring. However, whenfully closed (i.e., when pinch arm 705 pinches off, or seals, tubing intube pinching area 602), pinch valve mechanism 500A is capable ofholding four-to-five times the thirty-five pound load when energizedwith electric current. This is due to the powerful magnetic fieldgenerated by solenoid coil 600 when it is energized with relatively lowpower. Since, in some instances, pinch valve mechanism 500A operates tohave a default closed state, sealing off any tubing running through tubepinching area 602, spring 702 is capable of holding pinch arm 705closed, and a relatively low amount of power supplied by injector head201 may be needed to open, or hold open, pinch arm 705.

FIG. 10 is a flow diagram illustrating a method that may be performed bya powered medical fluid injection device, such as device 100 shown inFIGS. 1A-1B and/or device 200 shown in FIGS. 2A-2D, according to oneembodiment. For purposes of illustration only, it will be assumed in thedescription below that the method is performed by device 200.

Initially, device 200 receives a pressurizing unit within a sleeve, suchas sleeve 216A or 216B (1000). For example, device 200 may received sucha pressurizing unit (e.g., a syringe filled with medical fluid) into oneof sleeves 216A or 216B upon insertion by an operator or use. Duringoperation, device 200 may then control a flow of medical fluid into orout of the pressurizing unit through fluid tubing by at least one pinchvalve mechanism (1002), such as one or more of pinch valve mechanisms500A, 500B, 502A, and 502B. The at least one pinch valve mechanism maycomprise a plunger (e.g., solenoid plunger 708 shown in FIG. 7), areciprocating arm (e.g., reciprocating arm 706) driven by the plunger,and a tube pinching area (e.g., tube pinching area 602), and wherein theat least one pinch valve mechanism, when deactivated, is configured tocause the reciprocating arm to pinch the fluid tubing that runs throughthe tube pinching area. Device 200 may subsequently activate the atleast one pinch valve mechanism, and, upon activation, drive thereciprocating arm with the plunger to open a path in the fluid tubing,such that medical fluid is permitted to flow in the path of the fluidtubing.

In some instances, the method performed by device 200 further includesloading the plunger with a determined amount of force by an arbor, thearbor being part of the at least one pinch valve mechanism. The arbormay be loaded by a spring in the at least one pinch valve mechanism, anddevice 200 may cause the reciprocating arm to pivot about a supportbushing in the at least one pinch valve mechanism. In some instances,the method further includes rotating a bi-directional roller inside aslot of the plunger, the bi-directional roller being part of the atleast one pinch valve mechanism and coupled to one end of thereciprocating arm. For example, when the plunger moves forward, thebi-directional roller may rotate in a first direction within the slot ofthe plunger. When the plunger moves backward, the bi-directional rollermay rotate in a second, opposite direction within the slot of theplunger.

In some instances, the method may further include articulating a pin ofthe at least one pinch valve mechanism within a vertical slot of thereciprocating arm. Device 200 may reduce noise in the at least one pinchvalve mechanism through use of one or more poron pads that are coupledto the plunger.

As described above, device 200 may activate the at least one pinch valvemechanism. In some instances, upon activation, the at least one pinchvalve mechanism may open a path in fluid tubing that delivers medicalfluid to the pressurizing unit contained within the sleeve of device 200(e.g., during a fill operation). In some instances, upon activation,upon activation, the at least one pinch valve mechanism may open a pathin fluid tubing that delivers medical fluid from the pressurizing unitcontained within the sleeve (e.g, during an injection operation).

In some instances, device 200 may control the flow of medical fluid intothe pressurizing unit with a first pinch valve mechanism (e.g. pinchvalve mechanism 500A), and control a flow of medical fluid out of thepressurizing unit with a second pinch valve mechanism (e.g., pinch valvemechanism 502A). In one embodiment, device 200 may receive a secondpressurizing unit within a second sleeve of device 200, and control aflow of medical fluid into or out of the second pressurizing unitthrough additional fluid tubing by at least one additional pinch valvemechanism. For example, device 200 may control the flow of medical fluidinto the second pressurizing unit with a third pinch valve mechanism(e.g., pinch valve mechanism 500B), and control a flow of medical fluidout of the second pressurizing unit with a fourth pinch valve mechanism(e.g., pinch valve mechanism 502B).

Various embodiments have been described herein. These and otherembodiments are within the scope of the following claims.

1. A powered medical fluid injection device, comprising: an injectorhead; and at least one pinch valve mechanism coupled to the injectorhead, wherein the at least one pinch valve mechanism comprises aplunger, a reciprocating arm driven by the plunger, a tube pinchingarea, and a bi-directional roller coupled to one end of thereciprocating arm and configured to rotate inside a slot of the plunger,wherein the at least one pinch valve mechanism, when deactivated by theinjector head, is configured to pinch fluid tubing that runs through thetube pinching area.
 2. The device of claim 1, wherein the plungercomprises a solenoid plunger.
 3. The device of claim 1, wherein the atleast one pinch valve mechanism, when activated by the injector head, isconfigured to open a path in the fluid tubing, such that medical fluidis permitted to flow in the path of the fluid tubing, and wherein theplunger drives the reciprocating arm to open the path upon activation ofthe at least one pinch valve mechanism by the injector head.
 4. Thedevice of claim 1, wherein the at least one pinch valve mechanismfurther comprises an arbor that is configured to load the plunger with adetermined amount of force, and a spring that is configured to load thearbor.
 5. The device of claim 1, wherein the reciprocating arm isconfigured to pivot about the support bushing.
 6. The device of claim 1,wherein the bi-directional roller rotates in a first direction withinthe slot of the plunger when the plunger moves forward, and wherein thebi-directional roller rotates in a second, opposite direction within theslot when the plunger moves backward.
 7. The device of claim 1, whereinthe plunger includes an alignment shaft to couple the plunger to thereciprocating arm and permit the bi-directional roller to rotate insidethe slot of the plunger.
 8. A powered medical fluid injection device,comprising: an injector head; and at least one pinch valve mechanismcoupled to the injector head, wherein the at least one pinch valvemechanism comprises a plunger, a reciprocating arm driven by theplunger, and a tube pinching area, wherein the reciprocating armincludes a slot to permit a pin of the at least one pinch valvemechanism to articulate in the slot, and wherein the at least one pinchvalve mechanism, when deactivated by the injector head, is configured topinch fluid tubing that runs through the tube pinching area.
 9. Thedevice of claim 1, wherein the at least one pinch valve mechanismfurther comprises one or more poron pads coupled to the plunger.
 10. Thedevice of claim 1, wherein the reciprocating arm provides a mechanicaladvantage of substantially one.
 11. The device of claim 1, wherein theat least one pinch valve mechanism further comprises a pinch arm,coupled to the reciprocating arm, that is configured to pinch the fluidtubing that runs through the tube pinching area.
 12. The device of claim1, further comprising a sleeve configured to contain a pressurizingunit, and wherein the at least one pinch valve mechanism, when activatedby the injector head, is configured to open a path in the fluid tubingthat delivers medical fluid to the pressurizing unit.
 13. The device ofclaim 1, further comprising a sleeve configured to contain apressurizing unit, and wherein the at least one pinch valve mechanism,when activated by the injector head, is configured to open a path in thefluid tubing that delivers medical fluid from the pressurizing unit toan external patient line.
 14. The device of claim 1, further comprising:a first sleeve configured to contain a first pressurizing unit; and asecond sleeve configured to contain a second pressurizing unit, whereinthe at least one pinch valve mechanism comprises a first pinch valvemechanism configured to be coupled to first fluid tubing into the firstpressurizing unit, a second pinch valve mechanism configured to becoupled to second fluid tubing out of the first pressurizing unit, athird pinch valve mechanism configured to be coupled to third fluidtubing into the second pressurizing unit, and a fourth pinch valvemechanism configured to be coupled to fourth fluid tubing out of thesecond pressurizing unit.
 15. The device of claim 1, wherein the atleast pinch valve mechanism further comprises a cable that is configuredto send information to the injector head regarding a status of the tubepinching area, and wherein the status of the tube pinching areaindicates whether the tube pinching area is either open, pinched closed,or fully closed.
 16. The device of claim 15, wherein the injector headis configured to determine an operational state based upon the status ofthe tube pinching area, and wherein the operational state comprises astate related to a fluid fill or a fluid injection operation.
 17. Thedevice of claim 15, wherein the injector head is configured todeactivate the at least one pinch valve mechanism based upon the statusof the tube pinching area.
 18. A pinch valve mechanism, comprising: aplunger; a reciprocating arm driven by the plunger; a tube pinchingarea; and a bi-directional roller coupled to one end of thereciprocating arm and configured to rotate inside a slot of the plunger,wherein the pinch valve mechanism, when deactivated, is configured topinch tubing that runs through the tube pinching area.
 19. A methodcomprising: receiving a pressurizing unit within a sleeve of a poweredmedical fluid injection device; controlling a flow of medical fluid intoor out of the pressurizing unit through fluid tubing by at least onepinch valve mechanism, wherein the at least one pinch valve mechanismcomprises a plunger, a reciprocating arm driven by the plunger, abi-directional roller coupled to one end of the reciprocating arm thatis configured to rotate inside a slot of the plunger, and a tubepinching area, and wherein the at least one pinch valve mechanism, whendeactivated, is configured to cause the reciprocating arm to pinch thefluid tubing that runs through the tube pinching area.
 20. The method ofclaim 19, wherein the plunger comprises a solenoid plunger.
 21. Themethod of claim 19, further comprising: activating the at least onepinch valve mechanism; and upon activation, driving the reciprocatingarm with the plunger to open a path in the fluid tubing, such thatmedical fluid is permitted to flow in the path of the fluid tubing. 22.The method of claim 19, further comprising: loading the plunger with adetermined amount of force by an arbor, the arbor being part of the atleast one pinch valve mechanism; and loading the arbor by a spring inthe at least one pinch valve mechanism.
 23. The method of claim 19,further comprising: pivoting the reciprocating arm about a supportbushing in the at least one pinch valve mechanism.
 24. The method ofclaim 19, wherein rotating the bi-directional roller comprises: when theplunger moves forward, rotating the bi-directional roller in a firstdirection within the slot of the plunger; and when the plunger movesbackward, rotating the bi-directional roller in a second, oppositedirection within the slot of the plunger.
 25. A method comprising:receiving a pressurizing unit within a sleeve of a powered medical fluidinjection device; controlling a flow of medical fluid into or out of thepressurizing unit through fluid tubing by at least one pinch valvemechanism, wherein the at least one pinch valve mechanism comprises aplunger, a reciprocating arm driven by the plunger, and a tube pinchingarea, and wherein the at least one pinch valve mechanism, whendeactivated, is configured to cause the reciprocating arm to pinch thefluid tubing that runs through the tube pinching area; and articulatinga pin of the at least one pinch valve mechanism within a slot of thereciprocating arm.
 26. The method of claim 19, further comprisingreducing noise in the at least one pinch valve mechanism through use ofone or more poron pads that are coupled to the plunger.
 27. The methodof claim 19, further comprising: activating the at least one pinch valvemechanism; and upon activation, opening a path in fluid tubing thatdelivers medical fluid to the pressurizing unit contained within thesleeve of the powered medical fluid injection device.
 28. The method ofclaim 19, further comprising: activating the at least one pinch valvemechanism; and upon activation, opening a path in fluid tubing thatdelivers medical fluid from the pressurizing unit contained within thesleeve of the powered medical fluid injection device to an externalpatient line.
 29. The method of claim 19, further comprising: receivinga second pressurizing unit within a second sleeve of the powered medicalfluid injection device; and controlling a flow of medical fluid into orout of the second pressurizing unit through additional fluid tubing byat least one additional pinch valve mechanism.
 30. The method of claim29, wherein: controlling the flow of medical fluid into or out of thepressurizing unit comprises controlling a flow of medical fluid into thepressurizing unit with a first pinch valve mechanism, and controlling aflow of medical fluid out of the pressurizing unit with a second pinchvalve mechanism; and controlling the flow of medical fluid into or outof the second pressurizing unit comprises controlling a flow of medicalfluid into the second pressurizing unit with a third pinch valvemechanism, and controlling a flow of medical fluid out of the secondpressurizing unit with a fourth pinch valve mechanism.
 31. The method ofclaim 19, further comprising sending information to the injection deviceregarding a status of the tube pinching area, wherein the status of thetube pinching area indicates whether the tube pinching area is eitheropen, pinched closed, or fully closed.
 32. The method of claim 31,further comprising determining an operational state based upon thestatus of the tube pinching area, wherein the operational statecomprises a state related to a fluid fill or a fluid injectionoperation.
 33. The method of claim 31, further comprising deactivatingthe at least one pinch valve mechanism based upon the status of the tubepinching area.
 34. A powered medical fluid injection device, comprising:receiving means for receiving a pressurizing unit; and controlling meansfor controlling a flow of medical fluid into or out of the pressurizingunit through fluid tubing, wherein the controlling means comprises aplunger, a reciprocating arm driven by the plunger, and a bi-directionalroller coupled to one end of the reciprocating arm that is configured torotate inside a slot of the plunger, wherein the controlling means, whendeactivated, pinches the fluid tubing to prohibit the flow of medicalfluid in the fluid tubing.